Comparison Of Video Assisted Thoracoscopic Lobectomy And Conventional Thoracotomy For Lung Cancer

Objective:To analyze and summrize the clinical experiece and value of video assisted thoracoscopic surgery in the treatment of lung cancer,and provide reference for clinical treatment.Methods:From Novermber 2011 to Novermber 2013, consecutive 86patients with lung cancer were recruited in the chest surgery department of Qilu Hospital, including 44 patients who received video assisted thoracoscopic surgery (VATS group) and other 42 patients receiving pulmonary lobectomy throughthoracotomy (traditional group). The clinical data and perioperative parameters between the two groups were compared.Pulmonary lobectomy and mediastinal lymph node resection were performed in all cases.Results:Two groups of patients were successfully operated without serious complications, perioperative no deaths, no secondary cases were confirmed after surgery were cured.Pathological diagnosis of the two groups were no significant differences in contrast.VATS group blood loss was (166.23±32.89) and the amount of phenytoin (160.5±125.6) was significantly less than traditional thoracotomy group bleeding (254.57 disabilities 45.32) and the amount of phenytoin (235.4±101.6) (P <0.05), VATS length of incision group (7.5±1.8) cm significantly shorter than conventional thoracotomy group (28.6±3.9) cm (P<0.05).VATS group average blood loss was 166.23ml; traditional thoracotomy group 254.57ml, significant differences (P <0.05). The postoperative chest tube pull out the time and cost of hospitalization was no significant difference (P> 0.05), VATS group hospitalization time (7.8±3.6) d was significantly shorter than conventional thoracotomy group (17.8±5.6) d (P<0.05), after the first day of the drainage was significantly less than traditional thoracotomy group (P<0.05). Postoperative GLU, WBC, PA and other indicators are significant changes, VATS postoperative GLU patients, WBC index was significantly lower than conventional thoracotomy group (P<0.05), VATS group PA index (215.4±45.3) mg/ L significantly larger than conventional thoracotomy group (147.5±51.9) mg/L (P <0.05). The incidence of complications in patients with VATS group than traditional thoracotomy group, but no significant difference (P> 0.05).Conclusions:Video-assisted thoracoscopic lobectomy offers less postoperative pain, more rapid recovery, and less medical costs, compared with the conventional pulmonary lobectomy throughthoracotomy.